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NPI Code Detail

MEDICARE: CHC NWMETRO LLC

MEDICARE: CHC NWMETRO LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center

General Provider Information

NPI Number : 1962987040
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHC NWMETRO LLC
Provider Business Mailing Address
First Line : 72 RAVEN HILLS CT
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-1316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7355 W 88TH AVE UNIT R
Second Line :
City : WESTMINSTER
State : CO
Zip : 80021-6481
Country : US
Telephone Number : 303-429-3770
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : JEFF ALEXANDER
Credential :
Telephone Number : 719-964-3284
Provider Enumeration Date : 09/25/2018
Last Update Date : 08/17/2020

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Directions to “CHC NWMETRO LLC ” Practice Location

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